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Periodontal Examination & Charting Form (Sample) Student Name: X student Computer No. Xxxxxxxx Patient s Name: X Patient File Noxxxixxx Age: X yrs. Gender: x Occupation: xxx Marital Status: XXXIX
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How to fill out periodontal examination amp charting

How to Fill Out Periodontal Examination & Charting:
01
Gather the necessary tools such as a mouth mirror, periodontal probe, and a periodontal chart.
02
Begin by recording the patient's basic information, such as name, age, and date.
03
Examine each tooth individually, starting from the upper right side and moving clockwise. Use the mouth mirror to visually inspect the teeth and gums for any abnormalities or signs of periodontal disease.
04
With the periodontal probe, measure the depth of the gum pockets around each tooth. Insert the probe gently into the pocket until resistance is felt, and record the measurement on the periodontal chart.
05
Note any bleeding, recession, mobility, or other relevant observations for each tooth on the chart.
06
Pay attention to any signs of inflammation, plaque buildup, calculus deposits, or other concerning factors that indicate the presence or progression of periodontal disease.
07
Use additional symbols or markings on the chart to represent the type and severity of periodontal disease or other dental conditions.
08
Complete the charting process by summarizing the overall condition of the patient's teeth and gums, noting any specific treatment recommendations or referrals.
09
Ensure that the chart is properly labeled with the patient's information and securely stored for future reference, communication, or comparison during follow-up visits.
Who Needs Periodontal Examination & Charting?
01
Individuals with a known history of periodontal disease.
02
Patients exhibiting signs or symptoms of gum inflammation, bleeding, or recession.
03
Those with chronic bad breath or an unpleasant taste in their mouth.
04
Individuals with loose teeth or shifting of teeth.
05
Smokers or tobacco users.
06
Patients with systemic conditions such as diabetes or cardiovascular disease, as they have a higher risk of developing periodontal disease.
07
Individuals with a family history of gum disease.
08
People with poor oral hygiene habits or irregular dental visits.
09
Patients undergoing orthodontic treatment or with dental implants.
10
Those with a desire to monitor or improve the health of their gums and teeth.
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What is periodontal examination & charting?
Periodontal examination and charting is a dental procedure that involves evaluating the health of the gums, teeth, and surrounding tissues. It includes measuring pocket depths, assessing bleeding, and noting any abnormalities or signs of periodontal disease.
Who is required to file periodontal examination & charting?
Periodontal examination and charting is typically performed by a dentist or dental hygienist during routine dental check-ups. The results are recorded in the patient's dental records and are not specifically filed in a separate filing system.
How to fill out periodontal examination & charting?
To fill out a periodontal examination and charting form, the dentist or dental hygienist will need to visually assess the health of the gums, measure pocket depths using a periodontal probe, record any bleeding or abnormalities, and document the findings on the appropriate dental charting form.
What is the purpose of periodontal examination & charting?
The purpose of periodontal examination and charting is to assess the overall health of the gums and detect any signs of periodontal disease. It helps in diagnosing and monitoring gum diseases, planning appropriate treatment, and tracking the progress of therapy.
What information must be reported on periodontal examination & charting?
The periodontal examination and charting should include information such as pocket depths, bleeding on probing, recession, mobility or looseness of teeth, presence of plaque or calculus, as well as any other findings relevant to the patient's periodontal health.
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